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首页> 外文期刊>BMC Medical Informatics and Decision Making >Determinants of use and non-use of a web-based communication system in cerebral palsy care: evaluating the association between professionals' system use and their a priori expectancies and background
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Determinants of use and non-use of a web-based communication system in cerebral palsy care: evaluating the association between professionals' system use and their a priori expectancies and background

机译：在脑瘫护理中使用和不使用基于Web的通信系统的决定因素：评估专业人员的系统使用与其先验期望和背景之间的关联

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Background Previously we described parents' and professionals' experiences with a web-based communication system in a 6-month pilot in three Dutch cerebral palsy care settings. We found that half of the participating professionals had not used the system, and of those who had used the system one third had used it only once. The present study aimed to evaluate whether professionals' system use was associated with their a priori expectancies and background. Methods Professionals who had not used the system (n = 54) were compared with professionals who had used the system more than once (n = 46) on the basis of their questionnaire responses before the pilot, their affiliation and the number of patients which they represented in the study. The questionnaire items comprised professionals' expectancies regarding the system's performance and ease of use, as well as the expected time availability and integration into daily care practice. Results Overall, users had higher a priori expectancies than non-users. System use was associated with expected ease of use (p = .046) and time availability (p = .005): 50% of the users (vs. 31% of the non-users) expected that the system would be easy to use and 93% of the users (vs. 72% of the non-users) expected that they would be able to reserve a time slot each week for responding to submitted questions. With respect to professionals' affiliation, system use was associated with professionals' institution (p = .003) and discipline (p = .001), with more (para-) medical professionals among users (93% vs. 63% among non-users), and more education professionals among non-users (37% vs. 7% among users). In addition, users represented more patients (mean 2, range 1-8) than non-users (mean 1.1, range 1-2) (p = .000). Conclusions Professionals' system use was associated with expected ease of use and time availability, professionals' affiliation and the number of represented patients, while no association was found with expected performance of the system. To achieve higher adoption rates in the future, it is important to further develop the technology by optimizing the system's ease of use and interoperability and including advanced consultation options. In addition, better identified end users should be more extensively informed about the system's possibilities through tailored education.
机译：背景技术之前，我们在三个荷兰脑瘫护理机构中进行了为期6个月的试验，描述了父母和专业人员使用基于Web的通信系统的经验。我们发现一半的参与人员没有使用该系统，而那些使用该系统的人中只有三分之一使用了该系统。本研究旨在评估专业人员的系统使用是否与他们的先验期望和背景相关。方法根据飞行员之前的问卷调查，他们的隶属关系以及他们所使用的患者数量，将未使用该系统的专业人员（n = 54）与不使用该系统的专业人员（n = 46）进行比较。在研究中代表。问卷项目包括专业人员对系统性能和易用性的期望，以及预期的时间可用性和与日常护理实践的整合。结果总体而言，用户比非用户具有更高的先验期望。系统使用与预期的易用性（p = .046）和时间可用性（p = .005）相关：50％的用户（相对于非用户的31％）期望该系统易于使用93％的用户（相对于非用户的72％）期望他们能够保留每周的时间来回答提交的问题。关于专业人员的隶属关系，系统使用与专业人员的机构（p = .003）和纪律（p = .001）有关，用户中使用（准）医疗专业人员的比例更高（93％，而非医疗专业人员则为63％）用户），以及更多非教育用户（分别为37％和7％）。此外，用户代表的患者（平均2，范围1-8）比非用户（平均1.1，范围1-2）多（p = .000）。结论专业人员的系统使用与预期的易用性和时间可用性，专业人员的隶属关系和代表患者的人数有关，而与系统的预期性能没有关联。为了将来实现更高的采用率，重要的是通过优化系统的易用性和互操作性，并包括高级咨询选项来进一步开发该技术。此外，应该通过量身定制的教育，向识别能力更好的最终用户更广泛地告知该系统的可能性。

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